Larae Suzanne McCardell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22146-1023 Issued in WY

Practice address

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973

Phone

(650) 826-2945

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ms_lmccard1@landmarkhealth-direct.org
• Direct secure messaging: lmccardell@landmarkhealth-direct.org
• Direct secure messaging: larae.hedges@direct.wyomingmedicalcenter.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1811221070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50770",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826056912",
            "telephone_number": "307-333-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OYSTER POINT BLVD STE 512",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801973",
            "telephone_number": "650-826-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012926",
            "country_code": "US",
            "telephone_number": "307-577-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARDELL",
        "first_name": "LARAE",
        "middle_name": "SUZANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "22146-1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "116LH09",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W23006",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn O Matlock, L.M.F.T.
• Maureen Mayo, PHARMD
• Maria Cherry McCaffrey
• Jamila McCallum
• Ronald McCan
• Matthew Wright McClure, M.D,
• Michelle Lynn McGovern, RBT
• Jesse Seton McGreivy, M.D.
• Ian L McLean, MBCHB PHD FACP FRCP
• Shalini McMurdo

• Family Nurse Practitioner in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.